Organization Active NPI

Robert J. Bolduc, Optometrist, P.a.

  • Durable Medical Equipment & Medical Supplies
  • Biddeford, ME
National Provider Identifier
1346425741
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
660T Issued in ME
Legal business name
ROBERT J. BOLDUC, OPTOMETRIST, P.A.
Practice address
311 Alfred St
Biddeford, ME 04005-3127
Phone
(207) 284-6651
Fax
(207) 286-9579
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denise Zahares
Title
Billing
Phone
(207) 284-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 660T ME Primary

Addresses

Primary practice location

311 Alfred St
Biddeford, ME 04005-3127

Mailing address

311 Alfred St
Biddeford, ME 04005-3127
Phone (207) 284-6651

National Provider Directory

National Provider Directory

Locations

311 Alfred St
Biddeford, ME 04005
Phone (207) 284-6651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1346425741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053127",
            "telephone_number": "207-284-6651",
            "fax_number": "207-286-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053127",
            "telephone_number": "207-284-6651",
            "fax_number": "207-286-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BOLDUC, OPTOMETRIST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "ZAHARES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "207-284-6651"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "660T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.